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    Sertifikat Lulusan Skpi 2020

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    Erma Nurmawati Poltekkes Bandung
    The document is a diploma supplement for a graduate of the Bandung Health Polytechnic Nursing program. It provides information about the graduate's identity, the program organizer, and qualifications and outcomes achieved. The graduate earned a Diploma in Nursing, studying for 3 years to earn 113 credit units and a GPA of 3.52. The Nursing program is accredited and prepares graduates to apply nursing concepts and processes to provide care for various health issues and settings.

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    Sertifikat Lulusan Skpi 2020

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    Erma Nurmawati Poltekkes Bandung
    7 views360 pages
    The document is a diploma supplement for a graduate of the Bandung Health Polytechnic Nursing program. It provides information about the graduate's identity, the program organizer, and qualifications and outcomes achieved. The graduate earned a Diploma in Nursing, studying for 3 years to earn 113 credit units and a GPA of 3.52. The Nursing program is accredited and prepares graduates to apply nursing concepts and processes to provide care for various health issues and settings.

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    The document is a diploma supplement for a graduate of the Bandung Health Polytechnic Nursing program. It provides information about the graduate's identity, the program organizer, and qualifications and outcomes achieved. The graduate earned a Diploma in Nursing, studying for 3 years to earn 113 credit units and a GPA of 3.52. The Nursing program is accredited and prepares graduates to apply nursing concepts and processes to provide care for various health issues and settings.

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    © All Rights Reserved
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    7 views360 pages

    Sertifikat Lulusan Skpi 2020

    Uploaded by

    Erma Nurmawati Poltekkes Bandung
    The document is a diploma supplement for a graduate of the Bandung Health Polytechnic Nursing program. It provides information about the graduate's identity, the program organizer, and qualifications and outcomes achieved. The graduate earned a Diploma in Nursing, studying for 3 years to earn 113 credit units and a GPA of 3.52. The Nursing program is accredited and prepares graduates to apply nursing concepts and processes to provide care for various health issues and settings.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 360

    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG

    Bandung Health Polytechnic Ministry of Health


    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0600.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    I. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Zahrah Salsabila
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Jakarta, 21 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317001
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000747
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5299115044247786
    Grade Point Average

    II. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    III. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    3.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    IV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN KUALITAS HIDUP DAN TINGKAT STRES LANSIA
    Tugas Akhir YANG MENGALAMI HIPERTENSI DI RW 04 KELURAHAN
    Final Project PASIR MULYA KOTA BOGOR
    - Description of the quality of life and stress levels of the elderly
    who have hypertension in RW 04, Pasir Mulya Village, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0601.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    V. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Reza Ayu Nurul Karimah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Banyumas, 24 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317002
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000280
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5965486725663718
    Grade Point Average

    VI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    VII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    4.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    VIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    - (1) Penghargaan Peringkat 3 Semester 3 Tahun 2018 (IPK 3,47);
    Penghargaan dan Pemenang Kejuaraan
    (2) Peserta Ajang Olah Raga dan Talenta “Hand Hygiene Dance”
    Honor and Awards
    (AORTA CUP) 2018 Tingkat Nasional.
    - (1) Anggota dan Sekretaris Seni Cardio Poltekkes Kemenkes
    Pengalaman berorganisasi Bandung Prodi Keperawatan Bogor (2017-2020); (2) Anggota
    Organizational Experiences SNC (Sumeru Nursing Corp) Poltekkes Kemenkes Bandung
    Prodi Keperawatan Bogor (2017-2020).
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    (1) Sertifikat Kompetensi Uji Kompetensi Program Diploma III
    Keperawatan No. 405011144712020200034; (2) Sertifikat
    Pelatihan Basic Trauma Cardiac Life Support (BTCLS) No.
    398/P/BTCLS/PPPI/X/2020 (3) Sertifikat Keahlian Basic Trauma
    Pelatihan / Sertifikat
    Cardiac Life Support (BTCLS) No. Registrasi D0d0 06 p03 10 20
    Trainning / Certification
    3842; (4) Sertifikat Training Management Organization 2017
    “Bersatu Wujudkan Pribadi Tanggap dan Berkarakter untuk
    Membangun Jiwa Mahasiswa”, (5). Basic Trauma and Cardiac
    Life Support (BTCLS 2020).
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Dukungan Sosial Suami Pada Ibu Hamil Tentang
    Tugas Akhir Kelas Ibu Hamil di Puskesmas Kedung Badak Kota Bogor
    Final Project - Description of the Husband's Social Support in the Pregnant
    Women about Antenatal Class in Kedung Badak Public Health
    Centre Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0602.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    IX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Annisa Zihan Fitria
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 04 Januari 2000
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317003
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000716
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4724778761061947
    Grade Point Average

    X. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    5.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    (1). Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Harga Diri Pada Pasien Gagal Ginjal Kronik yang
    Tugas Akhir
    Menjalani Hemodialisa Di RS PMI Kota Bogor Tahun 2020
    Final Project
    - Description of self-esteem in chronic renal failure patients
    undergoing hemodialysis at PMI Hospital, Bogor City In 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0603.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Erna Alestin
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 03 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317004
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000457
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4795575221238937
    Grade Point Average

    XIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    6.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi - Sekertaris II BPMPS Keperawatan Bogor Kabinet Adhyasta,
    Organizational Experiences Sekertaris I BPMPS Keperawtaan Bogor Kabinet Pandita
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    SERTIFIKAT BTCLS : NO SERTIFIKAT
    Pelatihan / Sertifikat
    380/P/BTCLS/PPPI/X/2020 ( BASIC TRAUMA ANG CARDIAC
    Trainning / Certification
    LIFE SUPPORT).
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN TINGKAT KECEMASAN DAN MEKANISME
    KOPING REMAJA YANG MENGALAMI DISMENOREA DI MAN
    Tugas Akhir 1 KOTA BOGOR
    Final Project - Description of Level of Anxiety and Coping Mechanism
    Adolescents who Experience Dysmenorrhea at MAN 1 Kota
    Bogor
    -
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0604.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Hanifa Putri Lidyani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 03 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317005
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000495
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4084070796460173
    Grade Point Average

    XVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    7.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    - (1) Pengurus Divisi PPSDM HIMA Prodi Keperawatan Bogor
    Pengalaman berorganisasi
    periode 2017/1018, (2) Pengurus Divisi PPSDM HIMA Prodi
    Organizational Experiences
    Keperawatan Bogor periode 2018/2019
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Remaja pada Pola Asuh orang
    Tugas Akhir tua yang Over Protective di SMA N 1 Cigombong Kabupaten
    Final Project Bogor Tahun 2020
    - Description of the Level of Adolescent Anxiety in Overprotective
    Parenting in SMA Negeri 1 Cigombong, Bogor Regency in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0605.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Asyifa Nuranzani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Jakarta, 20 Juni 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317006
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000709
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4285840707964597
    Grade Point Average

    XXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    8.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Kejadian Acne Vulgaris dan Tingkat Stres Remaja di
    Tugas Akhir
    Media Sosial Twitter Tahun 2020
    Final Project
    - An Overview Of Acne Vulgaris And Adolescent Stress Levels
    With Approaches Social Media Twitter
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0606.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Hilda Herliawati Fitrianengsih
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Sukabumi, 02 Mei 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317007
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000181
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4561061946902654
    Grade Point Average

    XXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    9.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran konsep diri pada pasien gagal ginjal kronik yang
    Tugas Akhir
    menjalani Hemodialisa di RS PMI Kota Bogor
    Final Project
    - Overview of self-concept in chronic renal failure patients under
    hemodialysis therapy at PMI Hospital Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0607.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Azellia Aswina
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 28 Februari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317008
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000839
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4485840707964601
    Grade Point Average

    XXX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XXXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    10.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XXXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Remaja Putri Dalam Menghadapi
    Tugas Akhir
    Menarche di SMPN 2 Dramaga
    Final Project
    - Description of Young Women's Anxiety Levels In The Face Of
    The Menarche at 2 Dramaga Junior High School
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0608.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XXXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Aulia Fitriani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 17 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317009
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000143
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.6144247787610619
    Grade Point Average

    XXXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XXXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    11.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XXXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan Ibu Hamil dan Dukungan Suami tentang
    Program Perencanaan Persalinan dan Pencegahan Komplikasi
    Tugas Akhir
    (P4K) di Wilayah Kota Bogor
    Final Project
    - Description of Knowledge of Pregnant Women and Husband's
    Support About the Maternity Planning and Complication
    Prevention Program (P4K) in the Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0609.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XXXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Ririn Riswati
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Indramayu, 20 Agustus 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317010
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000730
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3400884955752215
    Grade Point Average

    XXXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XXXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    12.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XL. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Dukungan Sosial Keluarga Dan Tingkat Depresi Pada
    Lansia Di RW 03 Kelurahan Menteng Kecamatan Bogor Barat
    Tugas Akhir
    Tahun 2020
    Final Project
    - Description of The Family Social Support and Level of
    Depression in The Elderly on RW 03 District of Menteng Bogor
    Barat in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0610.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XLI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Khairunnisa Fajrin
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 16 Februari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317011
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000150
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5130088495575218
    Grade Point Average

    XLII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XLIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    13.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XLIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN PENGETAHUAN DAN SIKAP IBU TENTANG
    PENTINGNYA KONSUMSI IKAN UNTUK PERKEMBANGAN
    Tugas Akhir KOGNITIF ANAK USIA TODDLER DI POSYANDU BOUGENVIL
    Final Project IV DESA SUKAHARJA
    - Description Of Knowledge and Attitude Mother's About the
    Important Fish Consumption for the Cognitive Development of
    Toddlers (1-3 years) at Posyandu Bougenvil IV Desa Sukaharja
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0611.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XLV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    De Fira Pebrianti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Sukabumi, 12 Februari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317012
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000822
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5176991150442478
    Grade Point Average

    XLVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XLVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    14.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XLVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Harga Diri Dan Dukungan Keluarga Pada Pasien
    Tugas Akhir Tuberkulosis Paru Di Poliklinik Paru RS PMI Kota Bogor
    Final Project - Description Of Self-Esteem And Family Support In Pulmonary
    Tuberculosis Patients at The Pulmonary Polyclinic Of PMI
    Hospital, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0612.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XLIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Alvira Wulan Suci
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bekasi, 08 Desember 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317013
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000778
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5192920353982298
    Grade Point Average

    L. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    15.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan Tingkat Stress Pada Klien TB Paru
    di Wilayah Kerja Puskesmas Bogor Selatan Kota Bogor Tahun
    Tugas Akhir
    2020
    Final Project
    - Description of Knowledge and Stress Levels in Pulmonary
    Tuberculosis Clients in The Work Area of The Bogor Selatan
    Health Center Bogor City in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0613.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Nurmaulida Azzahra
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 10 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317014
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000389
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5588495575221235
    Grade Point Average

    LIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    16.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Kualitas Tidur Remaja Kelas XI di Pesantren Modern
    Tugas Akhir
    Ummul Quro Al-Islami Bogor
    Final Project
    - Description of adolescents sleep quality in class XI Ummul Quro
    Islamic Modern Boarding School Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0614.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Erma Nurmawati
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Sukabumi, 24 Desember 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317015
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000518
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5269026548672562
    Grade Point Average

    LVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    17.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN SIKAP MEROKOK DAN TINGKAT STRESS PADA
    DEWASA AWAL (26 – 35 TAHUN) DI RW 07 KELURAHAN
    Tugas Akhir
    KEDUNG JAYA KOTA BOGOR TAHUN 2020
    Final Project
    - Description of Smoking Attitudes and Stress Levels in Early
    Adults (26 - 35 Years) in RW 07 Kedung Jaya Village Bogor City
    2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0615.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Mirna Aryani Sofia
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 31 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317016
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000297
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4248672566371678
    Grade Point Average

    LXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    18.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020).
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Keluarga Pada Pasien Pre
    Tugas Akhir
    Operasi Di Poli Bedah RS PMI Kota Bogor
    Final Project
    - Description Of The Family Anxiety Levels In Perioperative
    Patients At Surgical Poly at PMI Hospital, Bogir City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0616.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Rhawziana Nurdin
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Lhokseumawe, 04 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317017
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000372
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4838938053097346
    Grade Point Average

    LXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    19.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    - IKRAMAH Prodi Keperawatan Bogor
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    (1) Training Management Organization Politekkes Bandung
    Pelatihan / Sertifikat
    Prodi Kepeawarawatan Bogor Tahun 2017, (2) Pelatihan Basic
    Trainning / Certification
    Trauma And Cardiac Life Support (BTCLS) Tahun 2020
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran pola asuh orang tua dalam membentuk karakter anak
    Tugas Akhir
    usia sekolah di SDN Cilendek 1 Kota Bogor Tahun 2020
    Final Project
    - Description of parenting styles in shaping the character of school
    children at SDN Cilendek 1 Bogor City in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0617.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Monica Dwiyani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 17 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317018
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000846
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.6120353982300886
    Grade Point Average

    LXX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LXXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    20.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LXXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN TINGKAT KECEMASAN DAN MEKANISME
    KOPING PADA PENDERITA DIABETES MELLITUS DI POLI
    Tugas Akhir
    PENYAKIT DALAM RS PMI KOTA BOGOR
    Final Project
    - Description of the level of anxiety and coping mechanisms in
    diabetes mellitus sufferers in the Internal Medicine Department at
    Pmi hospital, Bogor city
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0618.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Rhawziani Nurdin
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Lhokseumawe, 04 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317019
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000105
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4992920353982297
    Grade Point Average

    LXXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LXXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    21.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LXXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    - (1) Sekretaris Divisi IMTAQ HIMA Prodi Keperawatan Bogor
    Pengalaman berorganisasi periode 2017/1018, (2) Pengurus Divisi IMTAQ HIMA Prodi
    Organizational Experiences Keperawatan Bogor periode 2018/2019, (3) IKRAMAH prodi
    Keperawatan Bogor
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    (1) Training Management Organization Politekkes Bandung
    Pelatihan / Sertifikat
    Prodi Keperawatan Bogor Tahun 2017, (2) Pelatihan Basic
    Trainning / Certification
    Trauma And Cardiac Life Support (BTCLS) Tahun 2020
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Stigma, Harga Diri dan Kualitas Hidup Keluarga
    Dengan Skizofrenia Di Puskesmas Sindang Barang Kota Bogor
    Tugas Akhir
    Tahun 2020
    Final Project
    - Description of the Stigma, Self-Esteem and Quality of Life of
    Families with Schizophrenia in Sindang Barang Public Health
    Center
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0619.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Fanisa Febriana
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 01 Februari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317020
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000532
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5529203539823011
    Grade Point Average

    LXXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LXXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    22.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LXXX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Depresi Dan Risiko Bunuh Diri Pada Remaja Dengan
    Tugas Akhir
    Academic Underachievement Di SMAN 3 Cibinong Tahun 2020
    Final Project
    - Description of Depression and Suicide Risk in Adolescents with
    Academic Underachievement at SMAN 3 Cibinong
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0620.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXXXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Windy Ardhiani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 13 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317021
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000860
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4621238938053094
    Grade Point Average

    LXXXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LXXXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    23.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LXXXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Perilaku Lingkungan Sosial Yang Mengarah Kepada
    Lesbian, Gay, Biseksual, dan Transgender (LGBT) Pada Remaja
    Tugas Akhir
    Di SMA "X" Kabupaten Bogor
    Final Project
    - Description Of Social Environmental Behavior That Leads To
    Lesbian, Gay, Bisexual, And Transgender (LGBT) In Adolescents
    At “X” Senior High School In Bogor Districts
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0621.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXXXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Intan Permatahati
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 24 Mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317022
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000129
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3995575221238936
    Grade Point Average

    LXXXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    LXXXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    24.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    LXXXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN PERILAKU PADA REMAJA DENGAN INTERNET
    Tugas Akhir ADDICTION DISORDER DI SMP NEGERI 1 CIAWI
    Final Project KABUPATEN BOGOR TAHUN 2020
    - Description of Teenager Behavior with Internet Addiction Disorder
    at SMPN 1 Ciawi, Bogor Disctrict
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0622.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    LXXXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Atika Rosmia
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 11 Januari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317023
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000877
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5348672566371682
    Grade Point Average

    XC. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XCI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    25.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XCII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN PENGETAHUAN DAN SIKAP IBU HAMIL
    TRIMESTER TIGA TENTANG TEKNIK MENYUSUI YANG
    Tugas Akhir
    BENAR DI PUSKESMAS PANCASAN KOTA BOGOR
    Final Project
    - Description of knowledge and attitudes of third trimester pregnant
    women about correct breastfeeding techniques at the Pancasan
    Health Center in Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0623.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XCIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Khilda Azmi Zulfani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bandung, 27 Januari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317024
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000785
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4399115044247788
    Grade Point Average

    XCIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XCV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    26.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    XCVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN TINGKAT KECEMASAN PADA WANITA DALAM
    MENGHADAPI MASA KLIMAKTERIUM DI PUSKESMAS
    Tugas Akhir
    PANCASAN KOTA BOGOR TAHUN 2020
    Final Project
    - The description of determine about level of woman anxiety on
    facing the climacteric period in Puskesmas Pancasan, Bogor
    Regency
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0624.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    XCVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Dea Amiranti Andini
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 16 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317027
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000792
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4352212389380532
    Grade Point Average

    XCVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    XCIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    27.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    C. INFORMASI TAMBAHAN
    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kesehatan Mental Emosional Dan Pola Asuh
    Tugas Akhir
    Orang Tua Pada Siswa SMP YZA 2 Kota Bogor Tahun 2020
    Final Project
    - Description of Levels Emotional Mental Health and Parenting
    Patterns to Students at YZA 2 Junior High School in Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0625.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Adinda Ragil Pangestu
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Cianjur, 31 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317028
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000617
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4177876106194689
    Grade Point Average

    CII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    28.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN INTERAKSI SOSIAL PADA REMAJA DALAM
    Tugas Akhir PENGGUNAAN MEDIA SOSIAL DI SMAN 1 BABAKAN
    Final Project MADANG
    - Description of Social Interaction on Adolescents in the Use of
    Social Media at SMAN 1 Babakan Madang
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0626.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Aliah Berliana Sari
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Serang, 23 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317029
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000488
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5014159292035396
    Grade Point Average

    CVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    29.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN SELF MANAGEMENT PADA PENDERITA
    Tugas Akhir
    HIPERTENSI DI POLIKLINIK JANTUNG RS PMI KOTA BOGOR
    Final Project
    - A Description Of Self Management In Hypertension Patients At
    The Cardiac Polyclinic Of Pmi Hospital, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0627.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Mirna Maharani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 14 Mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317030
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000075
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4710619469026551
    Grade Point Average

    CX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    30.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Orang Tua yang Merawat Anak
    Tugas Akhir Talasemia Mayor di Ruang Talasemia RS PMI Kota Bogor
    Final Project - Description of Anxiety Levels of Parent Caring for Thalassemia
    Major Children in the Thalassemia Room at PMI Hospital Bogor
    City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0628.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Cindi Aulia Purnamasari
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bekasi, 20 April 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317031
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000662
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4269911504424777
    Grade Point Average

    CXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    31.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan Sikap Remaja Putri Tentang
    Bahaya Kehamilan Pada Usia Dini di SMAN 1 Ciomas Kabupaten
    Tugas Akhir
    Bogor
    Final Project
    - Description of knowledge and attitude of young women about the
    dangers of pregnancy at an early age In SMAN 1 Ciomas Bogor
    District
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0629.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Nurhanida Assyfa
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 30 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317032
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000112
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5939823008849556
    Grade Point Average

    CXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    32.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    - (1) Pengurus Divisi KESMA HIMA Prodi Keperawatan Bogor
    Pengalaman berorganisasi
    periode 2017/1018, (2) Ketua Divisi KESMA HIMA Prodi
    Organizational Experiences
    Keperawatan Bogor periode 2018/2019
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Persepsi Body Image dan Penurunan Libido pada
    Akseptor KB Suntik DMPA (Depo Medroxy Progesteron Asetat) di
    Tugas Akhir
    Puskesmas Cibungbulang
    Final Project
    - Perception of body image illustration and decreased libido of KB
    DMPA (depo medroxy progesterone acetat) injection recipient on
    Cibungbulang Public Health Center
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0630.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Insan Mardhotillah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 14 April 2000
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317033
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000648
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5722123893805309
    Grade Point Average

    CXXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    33.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Perawatan Diri (Self Care) pada Pasien Gagal
    Tugas Akhir
    Jantung Kongestif di Poliklinik Jantung RS PMI Kota Bogor
    Final Project
    - Description of Self-Care in Congestive Heart Failure Patients at
    the Cardiac Polyclinic of PMI Hospital, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0631.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Putri Karenina
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Magetan, 23 Februari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317034
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000099
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5330973451327434
    Grade Point Average

    CXXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    34.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    - 1. Pengurus divisi Sosmas Himpunan Mahasiswa Kabinet Aksi
    Pengalaman berorganisasi
    Periode 2018-2019 2. Ketua Umum Himpunan Mahasiswa
    Organizational Experiences
    Kabinet Arkatama Periode 2019-2020
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Ibu Hamil Tentang Hubungan
    Tugas Akhir Seksual Selama Kehamilan di Puskesmas Pancasan Kota Bogor
    Final Project - An Overview of Anxiety Level in Pregnant Woman About Sexual
    Intercourse During Pregnancy at Puskesmas Pancasan, Bogor
    City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0632.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Aenaya Karimah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 17 November 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317035
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000419
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4574336283185843
    Grade Point Average

    CXXX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXXXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    35.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXXXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN TINGKAT DEPRESI PADA REMAJA (12-21
    Tugas Akhir TAHUN) DENGAN TALASEMIA MAYOR DI RS PMI KOTA
    Final Project BOGOR
    - Description Of Depression Levels In Adolescents (12-21 Years)
    With Thalasemia Major In PMI Hospital Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0633.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXXXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Dhani Septian
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Lebak, 25 September 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317036
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000402
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4664601769911503
    Grade Point Average

    CXXXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXXXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    36.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXXXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    - (1).Pengurus Divisi Eksternal Kampus Himpunan Mahasiswa
    Program Studi Keperawatan Bogor Periode 2017/2018 (2).Ketua
    Pengalaman berorganisasi
    Divisi Eksternal Kampus Himpunan Mahasiswa Program Studi
    Organizational Experiences
    Keperawatan Bogor periode 2018/2019(3). Staff Dirjen Research
    & Development BEM-KM
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Mekanisme Koping dan Kualitas Tidur Pada Pasien
    Gagal Ginjal Kronik Yang Menjalani Hemodialisa di RS PMI
    Tugas Akhir
    Bogor Tahun 2020
    Final Project
    - Description of Coping Mechanisms and Sleep Quality in Chronic
    Renal Failure Patients Undergoing Hemodialysis at PMI Bogor
    Hospital in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0634.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXXXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Renna Melinda
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 19 November 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317037
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000396
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5289380530973449
    Grade Point Average

    CXXXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXXXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    37.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXL. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Konsep Diri Remaja Yang Mengalami Verbal Bullying
    Tugas Akhir
    di SMA Negeri 1 Babakan Madang Tahun 2020
    Final Project
    - Description of Self-Concept in Adolescents who Experienced
    Verbal Bullying at SMA Negeri 1 Babakan Madang in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0635.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXLI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Alwi Firdaus Khoirurizqi
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Depok, 10 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317039
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000266
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3533628318584068
    Grade Point Average

    CXLII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXLIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    38.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXLIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    - 1. Pengurus Divisi Minat dan Bakat Himpunan Mahasiswa
    Pengalaman berorganisasi Program Studi Keperawatan Bogor Periode 2017/2018. (2).
    Organizational Experiences Ketua Divisi Minat dan Bakat Himpunan Mahasiswa Program
    Studi Keperawatan Bogor Periode 2018/2019
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN PENGETAHUAN DAN TINGKAT KECEMASAN
    Tugas Akhir ORANG TUA PADA ANAK DENGAN KONDISI STUNTING DI
    Final Project DESA CIBATOK 2 KABUPATEN BOGOR TAHUN 2020
    - Description of Knowledge and parents anxiety level on kids with
    stunting condition in Cibatok 2 village bogor district in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0636.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXLV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Syifa Efantrina
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 02 November 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317040
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000037
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3929203539823005
    Grade Point Average

    CXLVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXLVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    39.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXLVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Stres Siswa Kelas 3 SMA Menghadapi Ujian
    Tugas Akhir
    Masuk Perguruan Tinggi Negeri di SMAN 8 Kota Bogor
    Final Project
    - Description of Stress Levels of Grade 3 High School Students
    Facing Entrance College’s Exams at SMAN 8 Bogor City in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0637.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXLIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Alifa Thufaila Bahira Firmansyah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Malang, 31 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317041
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000358
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4952212389380528
    Grade Point Average

    CL. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    40.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Harga Diri dan Tingkat Kecemasan pada Remaja
    Tugas Akhir
    dengan Emotional Abuse di MTs Negeri 2 Bogor
    Final Project
    - Description of Self-Esteem and Anxiety Levels in Adolescents
    with Emotional Abuse in MTs Negeri 2 Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0638.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Yulia Apiyani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 27 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317042
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000136
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3933628318584068
    Grade Point Average

    CLIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    41.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi - 1. Wakil Ketua BPMPS Kabinet Adhyasta periode ( 2018/2019) 2.
    Organizational Experiences Ketua BPMPS Kabinet Pandita periode (2019/2020)
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Remaja tentang Seks Pra Nikah
    Tugas Akhir
    di SMK Bina Informatika Kota Bogor
    Final Project
    - Description of Teenager Anxiety Levels About Pre-Marital Sex in
    Bina Informatika Vocational School, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0639.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Vina Alfiani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 23 September 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317043
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000686
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4623008849557522
    Grade Point Average

    CLVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    42.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN TINGKAT KECEMASAN DAN PENYESUAIAN DIRI
    Tugas Akhir PADA REMAJA DI PANTI ASUHAN CANDRA NAYA
    Final Project PALEDANG KOTA BOGOR TAHUN 2020
    - Description of anxiety level and adjustment in adolescents at the
    Candra Naya Paledang orphanage, Bogor City in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0640.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Feni Rosdianti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 17 Juni 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317044
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000327
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5408849557522126
    Grade Point Average

    CLXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    43.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN KONSEP DIRI PADA PASIEN PASCA ORIF (OPEN
    Tugas Akhir
    REDUCTION INTERNA FIXATION) DI RS PMI KOTA BOGOR
    Final Project
    - Description of self-concept in post open reduction interna fixation
    patients at PMI Hospital, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0641.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Muhamad Rizki Hadi Pratama
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 31 Agustus 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317045
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000624
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.2611504424778759
    Grade Point Average

    CLXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    44.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan Kepatuhan Batasan Asupan Cairan
    Pada Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa di
    Tugas Akhir
    RS PMI Kota Bogor
    Final Project
    - Overview of knowledge and adherence to limitation of fluid intake
    in patients with chronic renal failure in hemodialysis patients at
    PMI Hospital, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0642.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Devi Ernanti Wahyuni
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 30 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317046
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000884
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.334070796460177
    Grade Point Average

    CLXX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLXXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    45.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLXXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN INTENSITAS PENGGUNAAN GADGET DAN
    Tugas Akhir KONTROL DIRI PADA REMAJA DI SMA AL – GHAZALY KOTA
    Final Project BOGOR TAHUN 2020
    - Description of the Intensity of Using Gadgets and Self-Control in
    Adolescents at Al-Ghazaly High School Bogor City in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0643.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Ade Rahma Apriliani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 30 April 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317047
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000754
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.6369026548672569
    Grade Point Average

    CLXXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLXXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    46.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLXXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan - 1. Penghargaan Peringkat 1 Tahun 2018 (IPK 3,53)
    Honor and Awards - 2. Penghargaan Peringkat 1 Tahun 2020 (IPK 3,64)
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat 1. Pelatihan Basic Trauma and Cardiac Life Support (BTCLS)
    Trainning / Certification Tahun 2020
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Orang Tua dengan Anak yang
    Sedang Menjalani Pengobatan Tuberkulosis Paru di Puskesmas
    Tugas Akhir
    Ciasmara Tahun 2020
    Final Project
    - Description of Anxiety Levels of Parents with Children
    Undergoing Pulmonary Tuberculosis Treatment at Ciasmara
    Health Center in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0644.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Miranti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 10 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317048
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000556
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5443362831858405
    Grade Point Average

    CLXXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLXXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    47.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLXXX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kemandirian Dalam Melakukan Activity Daily
    Living dan Harga Diri Pada Keluarga Mahasiswa Prodi
    Tugas Akhir
    Keperawatan Bogor yang Memiliki Lansia
    Final Project
    - Description of the Level of Independence in Carrying Out Activity
    Daily Living and Self-esteem in the Families of Bogor Nursing
    Study Program Students Who Have the Elderly
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0645.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXXXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Wildyanita
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 23 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317049
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000433
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4815929203539819
    Grade Point Average

    CLXXXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLXXXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    48.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLXXXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Stres Ibu Hamil Dalam Melakukan Test HIV
    Melalui PITC (Provider Initiated Testing and Counselling) di
    Tugas Akhir
    Puskesmas Bogor Tengah
    Final Project
    - Description of Pregnant Women Stress Levels in doing HIV
    Tests Through PITC (Provider Initiated Testing and Counselling)
    at Puskesmas Bogor Tengah
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0646.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXXXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Widya Astuti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 10 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317050
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000174
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4353097345132744
    Grade Point Average

    CLXXXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CLXXXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    49.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CLXXXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran tingkat stress dan pengetahuan tentang manajemen
    stress pada pasien penyakit jantung koroner di poliklinik jantung
    Tugas Akhir
    RS PMI BOGOR
    Final Project
    - Description of stress levels and knowledge about stress
    management in coronary heart disease patients at the heart
    polyclinic of PMI BOGOR Hospital
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0647.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CLXXXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Olya Agustin
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 23 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317051
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000242
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3330088495575221
    Grade Point Average

    CXC. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXCI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    50.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXCII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan sikap Keluarga terhadap perawatan
    Tugas Akhir
    pasien post stroke
    Final Project
    - Description of knowledge and family attitudes to patient care post
    stroke
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0648.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXCIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Fuji Nugraha
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 9 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317052
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000464
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.391238938053097
    Grade Point Average

    CXCIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXCV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    51.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CXCVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Kecerdasan Emosional Remaja Tunarungu Usia 12 -
    Tugas Akhir
    21 Tahun Di SLB B Kota Bogor Tahun 2020
    Final Project
    - Description of emotional intelligence in deaf teenagers ages 12-
    21 years old at Special Education School B Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0649.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CXCVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Rika Lestari
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 27 Agustus 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317053
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000365
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4400884955752216
    Grade Point Average

    CXCVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CXCIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    52.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CC. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Persepsi dan Perilaku Pencegahan Keputihan pada
    Tugas Akhir Remaja Putri di SMA Rimba Madya Kota Bogor
    Final Project - Description of Perseption Knowledge and Behaviour White
    Discharge Prevention In Adolescence at SMA Rimba Madya Kota
    Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0650.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Diana Apriliani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Tangerang, 5 April 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317054
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000167
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4623893805309733
    Grade Point Average

    CCII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    53.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Body Image dan Social Comparison Pada Remaja
    Tugas Akhir
    Putri Pengguna Sosial Media Instagram di SMAN 5 Kota Bogor
    Final Project
    - Description Of Body Image and Social Comparison in Female
    Teenager Instagram Users at SMAN 5 Kota Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0651.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Siti Nazihah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 19 Oktober 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317055
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000334
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3976991150442477
    Grade Point Average

    CCVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    54.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi - Sekretaris Komisi Advokasi dan Perundangan BPMPS
    Organizational Experiences ADHYASTA 2019
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Interaksi Sosial dan Tingkat Adiksi pada Remaja
    Dengan Game Online di SMA Rimba Madya Kota Bogor Tahun
    Tugas Akhir
    2020
    Final Project
    - Description of Social Interaction and Online Games Addiction
    level in Adolescents at Bogor City Rimba Madya High School
    2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0652.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Safira Sekarningtyas Pramita
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 5 april 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317056
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000761
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4151327433628316
    Grade Point Average

    CCX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    55.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran pengetahuan dan sikap ibu hamil terhadap bahaya
    Tugas Akhir asap rokok bagi kesehatan ibu hamil dan jadi di kota bogor
    Final Project - Description of knowledge and attitudes in pregnant women
    towards the dangers of cigarette smoke for pregnant women
    health and fetuses at Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0653.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Siti Sabrina Amalia
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 05 November 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317057
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000082
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4354867256637167
    Grade Point Average

    CCXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    56.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran kecemasan dan sikap lansia dengan hipertensi di RW
    Tugas Akhir
    09 Kelurahan Kedung Jaya Kota Bogor
    Final Project
    - Description of Anxiety and attitude elderly with hypertension at
    RW 09 Kedung Jaya Village, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0654.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Ery Miliya Cahyany Wulan
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Magetan, 21 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317058
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000587
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3621238938053093
    Grade Point Average

    CCXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    57.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan Sikap Perawat Dalam Bermain
    Terapeutik Untuk Menurunkan Kecemasan Pada Anak saat
    Tugas Akhir
    Hospitalisasi di RS PMI Kota Bogor
    Final Project
    - Description of Knowledge and Nurses Attitudes to Play
    Therapeutic for Reduce Anxiety in Children Hospitalization's time
    at the PMI Hospital Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0655.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Chintia Andini
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 13 Juli 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317059
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000891
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3864601769911502
    Grade Point Average

    CCXXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    58.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Mekanisme Koping Pada Santri Baru Yang
    Mengalami Homesickness di Pondok Pesantren Ilmu Al-Qur'an
    Tugas Akhir
    Bogor Tahun 2020
    Final Project
    - Description of The Coping Mechanism for New Students Who
    Experience Homesickness in the Islamic Boarding School Bogor
    2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0656.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Yudha Fauza Wardana
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 02 Mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317060
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000235
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4153097345132744
    Grade Point Average

    CCXXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    59.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Kualitas Hidup Pasien Gagal Jantung Kongestif di
    Tugas Akhir
    Poliklinik Jantung RS PMI Kota Bogor
    Final Project
    - Description of Quality of Life in Congestive Heart Failure Patients
    at Cardiovascular Polyclinic PMI Hospital Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0657.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Kendyta Aprilia Palupi
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    bogor, 4 april 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317061
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000273
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5660176991150441
    Grade Point Average

    CCXXX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXXXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    60.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXXXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran tingkat kemandirian anak prasekolah dan pola asuh
    Tugas Akhir
    orangtua di TKIT Bunaya Bogor
    Final Project
    - Description of self Reliance level in preschoolers and parenting
    style at TKIT Bunaya Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0658.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXXXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Mega Yunita
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 02 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317062
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000501
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4447787610619467
    Grade Point Average

    CCXXXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXXXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    61.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXXXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkatan Kecemasan Orangtua Dalam Merawat
    Anak Tunagrahita Usia Sekolah (6-12 Tahun) di SLB C Tunas
    Tugas Akhir
    Kasih 2 Bogor
    Final Project
    - Description of Anxiety levels parents in caring for mental
    retadation children of school age (6-12 years old) at Tunas Kasih
    Special Education School 2 Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0659.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXXXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Wahyu Darmansyah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 12 Juni 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317063
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000228
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.236017699115044
    Grade Point Average

    CCXXXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXXXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    62.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXL. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran perilaku hidup bersih dan sehat remaja di SMPN 06
    Tugas Akhir
    kota bogor
    Final Project
    - Description of clean and healthy life behavior for teenagers in
    junior high school 06 Bogor city
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0660.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXLI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Mahalika Nurazizah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 10 Januari 2000
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317064
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000808
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3938053097345131
    Grade Point Average

    CCXLII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXLIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    63.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXLIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran pengetahuan dan tingkat stres remaja putri terhadap
    Tugas Akhir
    siklus menstruasi tidak teratur di SMAN 1 Leuwiliang tahun 2020
    Final Project
    - Description of knowledge and Teenagers stress levels towards
    irregular menstrual cycles at SMAN 1 Leuwiliang in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0661.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXLV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Mita Azani Yulianti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 30 Juli 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317065
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000594
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.6404424778761064
    Grade Point Average

    CCXLVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXLVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    64.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXLVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Perilaku Kader Posyandu Dalam Pemantauan
    Tumbuh Kembang Balita Di Kelurahan Rangga Mekar Bogor
    Tugas Akhir
    Selatan
    Final Project
    - Description of posyandu cadres' behavior in monitoring the
    growth and development of toddlers in Rangga Mekar Urban
    Village South Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0662.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXLIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Trisna Wardani
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 01 Juli 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317066
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000563
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4424778761061945
    Grade Point Average

    CCL. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    65.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Pada Anak Usia Sekolah Dalam
    Menghadapi Tindakan Invasif saat Hospitalisasi di RS PMI Kota
    Tugas Akhir
    Bogor Tahun 2020
    Final Project
    - Description of Anxiety level in School Age Children deal with
    Invasive Action when Hospitalization at RS PMI Bogor City in
    2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0663.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Hilda Herdiyanti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 14 Agustus 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317067
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000198
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3868141592920353
    Grade Point Average

    CCLIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    66.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Kecemasan Remaja Putri Dalam Menghadapi
    Tugas Akhir
    Dismenore di SMAN 1 Leuwiliang
    Final Project
    - Description of Anxiety Level in the Girls in Facing Dysmenorrhea
    at SMAN 1 Leuwiliang
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0664.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Cinthia Sherin Novita
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 28 November 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317068
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000440
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4135398230088496
    Grade Point Average

    CCLVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    67.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan Sikap remaja terhadap konsumsi
    Tugas Akhir
    tablet zat besi (Fe) di smk telekomedika bogor.
    Final Project
    - Description of knowledge and adolescents attitudes on consume
    iron (Fe) tablets at Bogor Telekomedika High School.
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0665.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Elfa Khaerunia Hapsari
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 08 Mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317069
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000426
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.411238938053097
    Grade Point Average

    CCLXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    68.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Persepsi dan Tingkat Stres pada Remaja yang
    Tugas Akhir
    Merokok di SMA Rimba Madya Kota Bogor Tahun 2020
    Final Project
    - Description of Perception and Stres Level In Adolescent Who
    Smoking In SMA RIMBA MADYA BOGOR 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0666.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Zahra Pratiwi
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 08 September 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317070
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000259
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4797345132743365
    Grade Point Average

    CCLXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    69.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkatan Kestabilan Emosi dan Perilaku Belanja
    Tugas Akhir Online Pada Remaja di SMA Taruna Terpadu 1 Kabupaten Bogor
    Final Project - Description of Emotional Stability Levels and Online Shopping
    Behavior in Adolescents at Taruna Terpadu Senior High School 1
    Kabupaten Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0667.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Atik Darwati
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Cilacap, 29 April 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317071
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000525
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4156637168141595
    Grade Point Average

    CCLXX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLXXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    70.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLXXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran mekanisme koping dan motivasi remaja dalam upaya
    Tugas Akhir
    pencegahan penyalahgunaan NAPZA
    Final Project
    - Description of adolescent's coping mechanisms and motivation in
    efforts to prevent drug abuse at Majalaya District
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0668.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Manggar Elwin Anashan
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 03 Januari 2000
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317072
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000679
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4512389380530974
    Grade Point Average

    CCLXXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLXXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    71.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLXXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Peran Orang Tua Dalam Pemberian Pendidikan Seks
    Tugas Akhir
    Pada Anak Usia Sekolah Di SDN CILENDEK 1 KOTA BOGOR
    Final Project
    - Description of the Role of Parents in Providing Sex Education to
    School-Age Children at SDN 1 Cilendek Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0669.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Siti Nur'Aisyah Ismiyaninata
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 6 November 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317073
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000907
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4200000000000004
    Grade Point Average

    CCLXXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLXXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    72.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLXXX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pola Asuh Orangtua dan Kejadian Stunting Pada
    Keluarga Mahasiswa Program Studi Keperawatan Bogor yang
    Tugas Akhir
    Memiliki Balita Tahun 2020
    Final Project
    - Gambaran Pola Asuh Orangtua dan Kejadian Stunting Pada
    Keluarga Mahasiswa Program Studi Keperawatan Bogor yang
    Memiliki Balita Tahun 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0670.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXXXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Grace Yohana
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 06 Mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317074
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000549
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4442477876106192
    Grade Point Average

    CCLXXXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLXXXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    73.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLXXXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran manajemen stres pada pasien dengan tuberculosis
    Tugas Akhir
    paru di poliklinik paru rumah sakit PMI Kota Bogor
    Final Project
    - Description of stress management in patients with pulmonary
    tuberculosis at the lung polyclinic of PMI hospital Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0671.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXXXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Aisyah
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Jakarta, 05 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317075
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000815
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5395575221238942
    Grade Point Average

    CCLXXXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCLXXXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    74.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCLXXXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Faktor Resiko Katarak dan Respon Berduka Akibat
    Tugas Akhir
    Kehilangan Fungsi Penglihatan pada Pasien Pre Operasi Katarak
    Final Project
    - Description of Cataract Risk Factors and Grieving Responses
    Due to Loss of Vision Function in Cataract Preoperative Patients
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0672.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCLXXXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Rachmasari Iskandar
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Surabaya, 13 Februari 2000
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317076
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000600
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3889380530973452
    Grade Point Average

    CCXC. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXCI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    75.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXCII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Tingkat Depresi Dan Resiko Bunuh Diri Pada Pasien
    Chronic Kidney Disease (CKD) Yang Menjalani Hemodialisa Di
    Tugas Akhir
    RS PMI Kota Bogor
    Final Project
    - Description of Depression Levels and Risk of Suicide in Chronic
    Kidney Disease (CKD) Patients Undergoing Hemodialysis at PMI
    Hospital Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0673.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXCIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Putri Dhea Oktavianty Permata
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 19 Oktober 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317077
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000020
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4513274336283186
    Grade Point Average

    CCXCIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXCV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    76.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCXCVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran ketidakberdayaan dan penyesuaian sosial pada usia
    Tugas Akhir
    dewasa korban tanah longsor di kecamatan nanggung bogor
    Final Project
    - Description of helplessness and social adjustment for adult age
    victims of landslides in Nanggung Bogor district
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0674.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCXCVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Farhan Nugraha
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 04 Mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317078
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000044
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.2443362831858407
    Grade Point Average

    CCXCVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCXCIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    77.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCC. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan Dan Sikap Ibu Tentang Perkembangan
    Motorik Kasar Dan Halus Pada Anak Usia Prasekolah Di TKIT
    Tugas Akhir
    Bunaya Kota Bogor
    Final Project
    - Description of Knowledge and Attitudes About Development of
    Gross and Fine Motoric skill in Preschool Children at Bunaya
    Kindergaten Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0675.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Nopi Puspita Sari
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Sukabumi, 05 November 1998
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317079
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000341
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.6011504424778762
    Grade Point Average

    CCCII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    78.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan Kepatuhan Monitoring Kadar Gula
    Darah Pada Penderita Diabetes Mellitus Tipe II Di Poliklinik
    Tugas Akhir
    Penyakit Dalam RS PMI Kota Bogor
    Final Project
    - Description of Knowledge and Compliance of Monitoring Blood
    Sugar Levels in Patients with Type II Diabetes Mellitus at the
    Internal Medicine Polyclinic at PMI Hospital, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0676.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Siti Nurmala
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 02 November 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317080
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000204
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3843362831858403
    Grade Point Average

    CCCVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    79.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran pengetahuan dan tingkat kecemasan pada ibu nifas
    tentang nutrisi pendukung dalam pengeluaran ASI di Ruang
    Tugas Akhir
    Gardenia RS PMI Kota Bogor
    Final Project
    - Description of Knowledge and Anxiety Level of Mothers with
    Postpartum Period regarding Supporting Nutrition of Breast Milk
    Expenditure in Gardenia Room at PMI Hospital, Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0677.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Mirna Anggraeni
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 30 Maret 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317081
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000013
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5153097345132744
    Grade Point Average

    CCCX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    80.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - GAMBARAN PENGETAHUAN DAN POLA ASUH ORANG TUA
    TERHADAP PEMILIHAN JAJANAN PADA ANAK USIA PRA
    SEKOLAH (3-6 TAHUN) DI RW 02 KELURAHAN CILENDEK
    Tugas Akhir
    BARAT KECAMATAN BOGOR BARAT KOTA BOGOR
    Final Project
    - DESCRIPTION OF KNOWLEDGE AND PARENTING STYLE ON
    THE SELECTION OF SNACKS FOR PRE-SCHOOL-AGE
    CHILDREN (3-6 YEARS OLD) IN RW 02 CILENDEK BARAT
    BOGOR BARAT SUB-DISTRICT BOGOR CITY
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0678.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Salma Mauludi
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 19 Juni 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317082
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000303
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.5460176991150441
    Grade Point Average

    CCCXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    81.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Persepsi dan Perilaku Remaja Putri Dalam Mengatasi
    Kecemasan Saat Pre Menstrual Syndrome (PMS) di SMA
    Tugas Akhir
    NEGERI 5 Bogor
    Final Project
    - Description of Perceptions and Behaviour of Young Women in
    Overcoming Anxiety During Pre Menstrual Syndrome (PMS) at
    SMA NEGERI 5 Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0679.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Nida Nisrina Septianti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 27 september 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317083
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000853
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3668141592920358
    Grade Point Average

    CCCXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    82.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Peran Keluarga dalam Merawat Klien Diabetes
    Tugas Akhir
    Mellitus
    Final Project
    - Description of Family Role in Caring for Clients with Diabetes
    Mellitus
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0680.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXXI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Sarah Roslinda
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 9 mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317084
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000723
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4929203539823006
    Grade Point Average

    CCCXXII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXXIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    83.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXXIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran pengetahuan tentang personal hygiene dan persepsi
    Tugas Akhir body image pada ibu post partum di Puskesmas Bogor Tengah
    Final Project - Description of knowledge about personal hygiene and body
    image perception in post partum mothers at Puskesmas Bogor
    Tengah
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0681.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXXV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Ranny Maudina
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 30 Juni 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317085
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000693
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4975221238938055
    Grade Point Average

    CCCXXVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXXVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    84.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXXVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Pengetahuan dan Sikap Ibu Hamil Tentang Stunting
    Tugas Akhir pada Balita di Wilayah Puskesmas Bogor Tengah
    Final Project - The Description of Pregnant Mother's Knowledge and Attitudes
    About Stunting in Toddlers in Regional at Puskesmas Bogor
    Tengah
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0682.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXXIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Wida Siti Nur Lida
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Sukabumi, 10 Oktober 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317087
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000631
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4912389380530975
    Grade Point Average

    CCCXXX. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXXXI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    85.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXXXII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran pengetahuan dan sikap tentang pantangan makanan
    Tugas Akhir
    ibu postpartum di wilayah kota bogor
    Final Project
    - Description of knowledge and attitudes about dietary restrictions
    for postpartum mothers in the city of Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0683.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXXXIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Wildan Syamsul Ma'arif
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Cilegon, 12 Juni 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317088
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000051
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.362566371681416
    Grade Point Average

    CCCXXXIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXXXV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    86.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXXXVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Motivasi dan Dukungan Keluarga Terhadap Perilaku
    Tugas Akhir Merokok Remaja di Sman 1 Ciwidey Kabupaten Bandung Tahun
    Final Project 2020
    - Description of Motivation and Family Support for Adolescent
    Smoking Behavior at SMAN 1 Ciwidey Kabupaten Bandung
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0684.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXXXVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Muhammad Yusril Mubarok
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 23 Agustus 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317089
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000211
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.2302654867256635
    Grade Point Average

    CCCXXXVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXXXIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    87.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXL. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Citra Tubuh dan Harga Diri Remaja Putri Yang
    Tugas Akhir
    Mengalami Obesitas Di SMA Al-Ghazaly Kota Bogor
    Final Project
    - Description of body image and self-esteem of female adolescents
    with obesity at al-Ghazaly high school Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0685.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXLI. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Ashri Ferri Yuwanti
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Purwakarta, 21 Februari 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317090
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000310
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4771681415929199
    Grade Point Average

    CCCXLII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXLIII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    88.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXLIV. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Persepsi, Sikap dan Dukungan Keluarga Terhadap
    Tugas Akhir Gaya Hidup Hedonis Remaja di SMK Telekomedika Bogor Tahun
    Final Project 2020
    - Description of Perceptions, Attitudes and Family Support for
    Adolescent Hedonist Lifestyle at SMK Telekomedika Bogor 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0686.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXLV. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Fatima Azzahra
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 12 Maret 2000
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317091
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000570
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.448230088495575
    Grade Point Average

    CCCXLVI. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCXLVII. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    89.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCXLVIII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran kecemasan dan depresi pada dewasa korban
    Tugas Akhir bencana tanah longsor di kecamatan Nanggung Bogor tahun
    Final Project 2020
    - Description of anxiety and depression in adult landslide victims at
    Nanggung Bogor District in 2020
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0687.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCXLIX. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Henny Hariyati
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Jakarta, 24 Mei 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317092
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000471
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.4944247787610614
    Grade Point Average

    CCCL. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCLI. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    90.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCLII. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran Perilaku Gaya Hidup Sehat dan Kejadian Obesitas
    Tugas Akhir
    pada Remaja di SMAN 1 Cibinong
    Final Project
    - Description of Healthy Lifestyle Behavior and Incidence of
    Obesity in Adolescents at SMAN 1 Cibinong
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0688.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCLIII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Ricky Indra Irawan
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Plaju, 22 Desember 1988
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317093
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000655
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3419469026548669
    Grade Point Average

    CCCLIV. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCLV. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    91.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCLVI. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran disfungsi ereksi dan tingkat kecemasan pada pasien
    pre operasi BPH (Benigne Prostatic Hyperplasia) di Poli Urologi
    Tugas Akhir
    RS. PMI kota Bogor
    Final Project
    - Description of erectile dysfunction and anxiety levels in patients
    with preoperative BPH (Benigne Prostatic Hyperplasia) at the
    Urology Polyclinic, PMI Hospital, Bogor City
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001
    POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN BANDUNG
    Bandung Health Polytechnic Ministry of Health
    Jl. Pajajaran No. 56 Bandung - 40173
    Telp: (022) 4231627 & (022) 4231639 Fax: (022) 4231640
    website: Email :

    SK Pendirian: KEPMENKES & KESOS : 298/MENKES-KESOS/SK/IV/2001, KEPMENDIKBUD : 355/E/0/2012

    SURAT KETERANGAN PENDAMPING IJAZAH


    Diploma Supplement
    Nomor/Number : KH.01.02/4.1.1/0689.1/2020

    The Diploma Supplement accompanies a higher education certificate providing standardized desciption of the nature, level,
    context, content and status of the studies completed by its holder

    CCCLVII. INFORMASI TENTANG IDENTITAS DIRI PEMEGANG SKPI


    INFORMATION OF PERSONAL IDENTITY OF DIPLOMA SUPPLEMENT HOLDER

    1.1. Nama Lengkap


    Sri Mulyana Rizki Nasution
    Full Name
    1.2. Tempat Dan Tanggal Lahir
    Bogor, 07 September 1999
    Place and Date of Birth
    1.3. Nomor Induk Mahasiswa
    P17320317094
    Student Identification Number
    1.4. Tanggal/Bulam/Tahun Masuk /
    9/4/2017
    Admission Year
    1.5. Tanggal/Bulan/Tahun Kelulusan
    15 Juli 2020
    Graduation Year
    1.6. Nomor Ijazah
    144712020000068
    Number of Diploma
    1.7. Gelar / Sebutan Lulusan
    Ahli Madya Keperawatan (A.md,. Kep.)
    Title
    1.8. Lama Studi
    6 Semester ( 3 Tahun ) / 3 Years
    Duration of Study
    1.9. Satuan Kredit Semester
    113
    Semester Credit Unit
    1.10. Indeks Prestasi Kumulatif
    3.3504424778761059
    Grade Point Average

    CCCLVIII. INFORMASI TENTANG IDENTITAS PENYELENGGARA PROGRAM


    INFORMATION ON IDENTITY OF THE PROGRAM ORGANIZER (HIGHER EDUCATION INSTITUTION)

    2.1. Nama Program Studi Keperawatan


    Study Program Nursing

    2.2. SK Pendirian SK Pendirian Kemenkes-kesos No. 298/MENKES-


    Certificate Of Establishment KESOS/SK/IV/2001 dan SK Kemendikbud No.355/E/O/2012

    2.3. Jenis / Jenjang Pendidikan Vokasi / Diploma III


    Education Dregree Vocational / Diploma Degree
    2.4. Jenjang Kerangka Kualifikasi Nasional
    Level 5
    (KKNI)
    Level 5
    Level of Indonesia Qualification Framework
    Lulusan SLTA / MA / SMK Keperawatan dan Lulus Seleksi
    2.5. Persyaratan Penerimaan Mahasiswa Baru
    Admission Requirements Graduate from High School/Islamic High School/Vocational High
    School and Pass the New Student admission Selection

    2.6. Bahasa Pengantar Kuliah Bahasa Indonesia


    Lingua Franca/Spoken Language Study Indonesia Language

    2.7. System Penilaian A = 3.53-4.00 B = 2.80-3.47 C = 2.00-2.73 D = 1.00-1.93 E = 0.02-


    Grading System 0.96
    2.8. Jenis Dan Jenjang Pendidikan Lanjutan Program Sarjana dan Ners
    Access to Further Study Bachelor Program

    2.9. Status Profesi Perawat


    Professional Satatus Nurse

    LAM PT KES (Akreditasi B )


    2.10. Pengakuan Mutu
    The Grade of Independent Accreditation Board of Higher
    Quality Recognition
    Education Institutes of Health : B

    CCCLIX. KUALIFIKASI DAN HASIL YANG DICAPAI


    THE QUALIFICATION AND OUTCOMES ACHIEVED

    Capaian pembelajaran (CP) Lulusan Graduates learning outcomes


    92.
    Menerapkan konsep dan prinsip etika keperawatan, To apply the concept of ethical principles of nursing,
    3.1. komunikasi dalam praktek professional communication in professional nursing practice
    Menerapkan pendekatan proses keperawatan dalam
    To apply the nursing process approach in implementing the
    melaksanakan asuhan keperawatan dengan berfikir
    3.2. nursing care with critical thinking
    kritis
    Mengkonsultasikan penangan pasien terhadap tim To consult the handling of client’s with other health/medical
    3.3. kesehatan lain team
    Melaksanakan tindakan pengobatan sebagai hasil To implement medication procedure as a result of a
    3.4. kolaborasi collaboration
    Mengelola tindakan diagnostik dan tindakan khusus To manage the diagnostic measures and special treatments
    3.5. sebagai hasil kolaborasi as the result of a collaboration
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to client with oxygen therapy needs
    3.6. dengan gangguan pemenuhan kebutuhan oksigen
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to the clients with fluid and electrolyte
    dengan gangguan pemenuhan kebutuhan cairan,
    3.7. and bload imbalance
    elektrolit dan darah
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with nutrition need fulfillment
    3.8. dengan gangguan pemenuhan kebutuhan nutrisi disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan eliminasi
    3.9. urinary disorder and fecal need elimination
    urin dan fecal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with fulfillment disorder of
    dengan gangguan pemenuhan kebutuhan rasa
    3.10. safety and comfort needs
    aman dan nyaman
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with mobilization and
    3.11. dengan gangguan mobilisasi dan ambulasi tambulation disorder
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with rest and sleep disorder
    3.12. dengan gangguan istirahat dan tidur
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with terminal illness
    3.13. terminal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to dying clients
    3.14. menjelang ajal
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients during preoperative period
    3.15. “perioperative”
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with emergency condition
    3.16. gawat darurat
    Melaksanakan asuhan keperawatan pada anak
    To provide nursing care to healthy children
    3.17. sehat

    Melaksanakan asuhan keperawatan pada anak sakit To Provide nursing care to sick children
    3.18.
    Melaksanakan asuhan keperawatan pada bayi
    To Provide nursing care to the high risk baby
    3.19. resiko tinggi
    Melaksanakan asuhan keperawatan pada ibu hamil To provide nursing care to pregnant mothers with normal
    3.20. normal dan komplikasi complication and pregnant mothers with complicated condition
    Melaksanakan asuhan keperawatan pada ibu To provide nursing care to clients during intranatal period and
    3.21. intranatal dan bayi baru lahir to new born babies
    Melaksanakan asuhan keperawatan pada ibu post To provide nursing care to clients with post partum and with
    3.22. partum normal dan komplikasi complicated post partum condition
    Melaksanakan asuhan keperawatan pada klien To provide nursing care to clients with reproduction health
    3.23. dengan masalah kesehatan reproduksi problems
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychosocial problems
    3.24. masalah psikososial
    Melaksanakan asuhan keperawatan pada klien
    To provide nursing care to clients with psychiatric disorders
    3.25. gangguan kesehatan jiwa

    Melaksanakan asuhan keperawatan komunitas To provide community nursing care


    3.26.
    Melaksanakan asuhan keperawatan pada kelompok To provide community nursing care to the particular population
    3.27. khusus (Anak sekolah, pekerja, lansia) (students, workers, elders)

    Melaksanakan asuhan keperawatan pada keluarga To provide nursing care to the families
    3.28.
    Berkontribusi dalam penelitian dan pengembangan
    To give contribution to nursing research and development
    3.29. keperawatan

    CCCLX. INFORMASI TAMBAHAN


    ADDITIONAL INFORMATION

    Pemegang Surat Keterangan Pendamping Ijazah ini The holder of this Diploma Supplement obtains the following
    memiliki prestasi dan telah mengikuti kegiatan : professional certifications :
    Penghargaan dan Pemenang Kejuaraan
    -
    Honor and Awards
    Pengalaman berorganisasi
    -
    Organizational Experiences
    Praktek Klinik, Komunitas dan Magang 1400 jam
    Clinical, Community Practice, and Internship 1400 hours
    Pelatihan / Sertifikat
    1. Basic Trauma and Cardiac Life Support (BTCLS 2020)
    Trainning / Certification
    Pengembangan Karakter & Keprofesian - Praktik Kerja Nyata Terpadu berbasis Interprofessional
    Character & Professional Development Education (IPE) di Purwakarta Tahun 2016.
    KTI
    - Gambaran ketidakberdayaan dan berduka pada pasien gagal
    Tugas Akhir
    kronik yang menjalani hemodialisa di rs pmi kota bogor
    Final Project
    - Description of helplessness and grief in patient with chronic
    kidney disease on hemodialysis at PMI Hospital Bogor
    INFORMASI TENTANG SYSTEM PENDIDIKAN TINGGI DI INDONESIA DAN KERANGKA KUALIFIKASI NASIONAL
    INDONESIA
    INFORMATION OF INDONESIAN HIGHER EDUCATION SYSTEM IN AND INDONESIAN NATIONAL QUALIFICATIONS
    FRAMEWORK

    Hubungan level lulusan perguruan tinggi dengan pasar kerja /Relationship level college graduates to the job market
    Kerangka kualifikasi nasional (KKNI) adalah penjenjang
    capaian yang menyetarakan, luaran pendidikan formal, non
    formal, informal atau pengalaman kerja dalam rangka
    pengakuan kompetensi kerja sesuai dengan struktur
    pekerjaan di berbagai sektor. Jejang kualifikasi adalah
    tingkat capaian pembelajaran yang disepakati secara
    nasional, disusun berdasarkan ukuran hasil pendidikan dan
    / atau pelatihan yang diperoleh melalui pendidikan formal,
    non formal, informal, atau pengalaman kerja.

    National Qualifications Framework (NQF) is leveling


    equitable outcomes, outcomes of formal education, non-
    formal, informal or work experience within the framework of
    the recognition of the competence of work in accordance
    with the structure of employment in various sectors. Level
    of qualification is an agreed level of learning achievement
    nationwide, arranged by size education results and / or
    training acquired through formal education, non-formal,
    informal, or work experience.

    KKNI merupakan perwujudan mutu dan jati diri bangsa Indonesia terkait dengan system pendidikan dan pelatihan nasional
    yang dimiliki Indonesia. KKNI terdiri dari 9 (sembilan) jenjang kualifikasi, dimulai dari kualifikasi-1 sebagai kualifikasi terendah
    dan kualifikasi-9 sebagai kualifikasi tertinggi.
    NQF embodies the quality and identity of Indonesia related to national education and training system that Indonesia has. NQF
    consists of 9 (nine) qualification level, starting from the qualification-1 as the lowest qualifications and qualification-9 as the
    highest qualification.

    Ditetapkan di / Defined in Bogor


    Pada tanggal / Date 17 Juli 2020

    Ketua Program Studi Keperawatan Bogor


    Head of Nursing Study Programs Bogor

    Dr. Atik Hodikoh, M.Kep. Sp.Mat.


    NIP: 196704111990032001

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